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Individual
SHIRLEY BAKKER
Active
Individual
SHIRLEY BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
306702
GA
363L00000X
Nurse Practitioner
Primary
AP4284
AZ
363L00000X
Nurse Practitioner
APRN03226
RI
363LF0000X
Family Nurse Practitioner
AP4284
AZ
363LF0000X
Family Nurse Practitioner
AP61531839
WA
Other
Enumeration date
12/07/2011
Last updated
03/27/2026
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